Deck 32: Social,cultural and Religious Influences on Child Health Promotion

Question 1

Currently the fastest-growing segment of the homeless population in the United States consists of:

A)Families.
B)"Runaway" adolescents.
C)Migrant farm workers.
D)Individuals with mental disorders.

Answer 1

Families.

Question 2

Maria is a Spanish-speaking 5-year-old who has started kindergarten in an English-speaking school. Crying most of the time,she appears helpless and unable to function in this new situation. The best explanation for this is that she:

A)Lacks adequate culture for attending school.
B)Lacks the maturity needed in school.
C)Is experiencing culture shock.
D)Is experiencing minority group discrimination.

Answer 2

Is experiencing culture shock.

Question 3

The Vietnamese mother of a child being seen in the clinic avoids eye contact with the nurse. Considering cultural differences,the best explanation for this is that the parent:

A)Feels responsible for her child's illness.
B)Feels inferior to nurse.
C)Is embarrassed to seek health care.
D)Is showing respect for nurse.

Answer 3

Is showing respect for nurse.

Question 4

Poverty has serious implications for children and families. Social and cultural deprivation,including limited employment opportunities,inferior educational opportunities,inferior or no access to health care,and a lack of public services,is referred to as the __________________ type of poverty.

Question 5

Which term best describes a group of people who share a set of values,beliefs,practices,social relationships,law,politics,economics,and norms of behavior?

A)Race
B)Culture
C)Ethnicity
D)Social group

Question 6

Which term best describes the emotional attitude that one's own ethnic group is superior to others?

A)Culture
B)Ethnicity
C)Superiority
D)Ethnocentrism

Question 7

Research is being done on the development of assets in children. A community that is supportive of children has which external assets? Choose all that apply.

A)Unstructured environments to allow for freedom of choice
B)Social competencies to make positive choices
C)Empowerment to feel safe and secure
D)Positive values to direct choice
E)Boundaries to set expectations and actions

Question 8

An Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items such as Jell-O,Popsicles,and juices are left. What would best explain this?

A)The parent is trying to feed child only what child likes most.
B)The parent is trying to restore normal balance through appropriate "hot" remedies.
C)Hispanics believe that the "evil eye" enters when a person gets cold.
D)Hispanics believe that an innate energy called chi is strengthened by eating soup.

Question 9

The nurse observes that the families who do not show up for scheduled clinic appointments are usually from minority cultural groups. The best explanation for this is that these families often differ from the dominant culture because they:

A)Lack education.
B)Avoid health care.
C)Are more forgetful.
D)View time differently.

Question 10

The father of a hospitalized child tells the nurse,"He can't have meat. We are Buddhist and vegetarians." The nurse's best intervention is to:

A)Order the child a meatless tray.
B)Ask a Buddhist priest to visit.
C)Explain that hospital patients are exempt from dietary rules.
D)Help the parent understand that meat provides protein needed for healing.

Question 11

Health beliefs vary among the cultural groups living in the United States. The belief that health is "a state of harmony with nature and the universe" is common in which culture?

A)Japanese
B)African-American
C)Native American
D)Hispanic American

Question 12

When minority groups immigrate to another country,a certain degree of cultural or ethnic blending occurs through the involuntary process of:

A)Acculturation.
B)Ethnocentrism.
C)Culture shock.
D)Cultural sensitivity.

Question 13

The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says that she has rubbed the edge of a coin on her child's oiled skin. The nurse should recognize that this is:

A)Child abuse.
B)A cultural practice to rid the body of disease.
C)A cultural practice to treat enuresis or temper tantrums.
D)A child discipline measure common in the Vietnamese culture.

Question 14

In which cultural group is good health considered to be a balance between yin and yang?

A)Asians
B)Australian aborigines
C)Native Americans
D)African-Americans

Question 15

Children are taught the values of their culture through observation and feedback relative to their own behavior. In teaching a class on cultural competence,the nurse should be aware that which factor(s) may be culturally determined? Choose all that apply.

A)Degree of competition
B)Racial variation
C)Determination of status
D)Social roles
E)Geographic boundaries

Question 16

The nurse is taking a history on a low-income Hispanic toddler. The parent tells the nurse that occasional diarrhea is treated with azogue,a mercury compound commonly used in the parent's native Mexico. What should the nurse recognize about this remedy?

A)It is harmless.
B)It is dangerous.
C)It has a scientific basis.
D)It has importance in certain religious practices.

Question 17

A young child from Mexico is hospitalized for a serious illness. The father tells the nurse that the child is being punished by God for being bad. The nurse should recognize that this is:

A)A health belief common in this culture.
B)An early indication of potential child abuse.
C)A misunderstanding of the family's common beliefs.
D)A belief common when fortune tellers have been used.